Polling Agents/ relieving agents movement sheet;

96
 Envelopes

Envelope for appointment letters of Polling Agents in Form 10 (Yellow colour)

97
Seals, Tags and Marks
(c) All paper slips taken out from VVPAT after mock poll (Yes/No)
(d) Empty VVPA T shown to all Polling Agents (Yes/No)
(e) Before actual poll ensure that no printed paper slip is in VVPAT Drop Box and shown to
Polling Agents (Yes/No)
(f) ‘TOTAL’ button on the Control Unit has been pressed to show total vote ‘ O’ to polling
agent (Yes/No)
(g) Mock poll VVPAT slips stamped with ‘MOCK POLL SLIP’ and sealed in black envelope
and then sealed with Pink Paper Slip (Yes/No)
(h) Following witness Mock Poll and certify that mock votes tallied and that the mock votes
erased from CU after mock poll:
(TO BE FILLED DURING MOCK POLL, POLL & AFTER COMPLETION OF POLL
DEPENDING ON CASE/SITUATION)

Following Polling Agents witness the replacement of power pack from the Control Unit:
{BU- Balloting Unit, CU- Control Unit and VVPAT- Voter Verifiable Paper Audit
Trail}

Following Polling Agents witness the replacement process

Following Polling Agents witness the replacement process during actual poll:
that I have written the serial number of the Control Unit on the special address tag, and I have
affixed my signature on the backside of the special address tag and also obtained thereon the
signatures of such of the candidates/Polling Agents as are present and desirous of affixing their
signature.
I have furnished to the Polling Agents, who were present at the Polling Station at the close of the poll and
whose signatures are affixed below, an attested copy of each of the entries in Part-I- Account of Votes
Recorded of Form17C as required under rule 49-S (2) of the Conduct of Elections Rules, 1961.
I have affixed my seals, and I have allowed the Polling Agents who were present at the Polling Station at
the close of poll to affix their seals, on the carrying cases of the Control Unit and Balloting Units of the
voting machine.
(i) Number of Control Units used:
(ii) S. No.(s) of Control Units used:
(iii) Number of Balloting Units used:
(iv) S. No.(s) of Balloting Units used:
(i) Number of paper seals used:
Study carefully the manner and the method in which the Control Unit, Balloting Units, the
Control Unit closed and sealed and VVPAT drop box sealed.
Read carefully different forms, Statutory and Non-Statutory.
Read very carefully the relevant sections of the Representation of the People Act, 1950 and 1951,
given in Annexure-1 and relevant rules under the Conduct of Elections Rules, 1961, given in
Annexure-2. If you have any doubt, approach your Returning Officer and get your doubt
clarified. Never be in a confused mind.

The Control Unit and Balloting Unit(s) and VVPAT, given to you pertain to your Polling
Station. Match all Unit Ids written on the tags with the metallic plate / barcode on the back
side of the Unit.
(e) The appropriate ballot paper has been affixed on each Balloting Unit and is properly aligned
under the ballot paper screen.
(f) The slide/thumb wheels switch has been set to the appropriate position in each Balloting
Unit.

(j) Check the copy of the list of contesting candidates given to you. The names, Photos and
symbols of the candidates given in the list must tally and should be in the same serial order
in which they appear in the ballot paper on the Balloting Unit. Also check if you have
received the following list:

(m) If you have any doubt about your movement program, route to be followed to reach the
polling station, get them cleared and make sure of the time, the place of departure and mode
of transport for reaching the polling station.
3.1 Ensure that you and other members of your Polling Party reach the Polling Station on the day
previous to the date of poll. On receipt, check the voting machine and the polling materials.
2. Check up the appointment letters of Polling Agents and explain to them provisions of
section 128 of the R.P. Act, 1951. Assign them seats and issue them entry passes for their
movements. Read out the declaration as referred to in Chapter - 4.
3. Make arrangements to appoint a Polling Officer if anyone from your party has not turned
up.
4. Start setting up the voting machine and VVPAT for conduct of mock poll 90 Minutes before
the time fixed for commencement of poll.
5. After the mock poll, clear the data of mock poll in the Control unit and remove paper slips
from VVPAT drop box before sealing the Control Unit and VVPAT. Prepare the Mock Poll
certificate after taking signatures of the Polling Agents present at the Polling Station. Also
report the absence of all Polling Agents or presence of only one polling agent during mock
poll to the RO.
6. Fix the green paper seal and close and seal the result section of the Control Unit. Seal
VVPAT drop box.
7. Place the phial of indelible ink in such a way that the ink does not spill out.
3. Complete Form17C (account of votes recorded and paper seal account). Furnish to every
polling agent present at the close of the poll, an attested true copy of Form17C after
obtaining from him a receipt for it on the declaration form referred to in Chapter - 7. Then
complete the declaration in other respects.
4. Complete your Presiding Officer’s Diary.
5. Seal all election papers as per instructions in Chapter - 7.
6. Follow the program of return journey to the collection centre for depositing the sealed
voting machine, VVPAT and sealed packet of election papers. It is your personal
responsibility to deliver the voting machine, VVPAT and other packets at the collection
centre intact and obtain a receipt.
In case Display Panel of the CU displays “Link Error”: (i) Check that the cable connections are
proper by visual inspection (don’t remove and reconnect the connectors); (ii) If “Link Error” still
persists, replace the complete set of EVM and VVPAT.

In case the Display Panel of the CU displays VVPAT Error 2.1 – 2.14 and the Presiding Officer has
not pressed the BU enable button: Switch off the CU and replace the defective VVPAT unit with the
new VVPAT unit. It shall be ensured that in no case replacement of VVPAT unit is done without
switching off the Control Unit. No need of Mock Poll in this case.
In case the printed paper slip has not been cut and is hanging from the paper roll: Replace the
VVPAT, but no effort should be made to make it fall into the drop box. It should be allowed to
remain hanging, as it is not to be counted at the time of counting of the ballot slips. The details of
such an occurrence should be clearly recorded in the Presiding Officers diary in the following
format:
 FORM M21-RECEIPT OF RETURN OF ELECTION
RECORDS AND MATERIAL AFTER POLL
(TO BE PREPARED IN DUPLICATE)
Statement showing particulars of used Electronic Voting Machine(s) and sealed covers and other articles
hand over by the Presiding Officer of Polling Station No............ of ........................... Assembly
constituency
comprised in the .................................... Parliamentary Constituency.
A. Electronic
(i) Voting Machine(s):
The sealed Electronic Voting
Machine(s): Nos
a. Number of sealed CU:
b. Number of sealed BU: Nos
(ii) c. Number of
The unused Electronic Voting sealed VVPAT:
Machine(s) Nos
a. Number of unused CU:
b. Number of unused BU: Nos
B. Packets: c. Number of unused VVPAT:
(I) First packet: EVM Papers Nos
(i) Unsealed envelope containing the account of votes recorded (Form-17C),
(ii) Unsealed envelope containing the Presiding Officer Report I (Mock-Poll Certificate),
II
& III
(iii) Printed VVPAT paper slips of Mock Poll should be kept in Black Coloured Sealed
Envelope
In case of simultaneous election, separate first packet of EVM Papers in pink colour for
polled EVM for assembly poll.
(II) Second packet: Scrutiny Cover
(i) Unsealed envelope containing the Presiding Officer’s
(ii) Diary Sealed envelope containing the register of voters
(iii) (17A) Unsealed envelope containing Visit Sheet
(iv) Unsealed envelope containing the list of blind and infirm electors in Form 14-A and the
declarations of the companions
(III) Third packet: Statutory Cover
(i) Sealed envelope containing the marked copy of the electoral roll and list of CSVs, if
any;
(ii) Sealed envelope containing voter’s
(iii) slips;
(iv) Sealed envelope containing unused tendered ballot papers;
(v) Sealed envelope containing the used tendered ballot papers and the list in Form
In case 17-B; Sealed envelope
of simultaneous election,containing the list
pink envelope of challenged
containing votes
the pink in Form
voter’s slip14;
for assembly
poll should be kept in this third packet.
(IV) Fourth packet: Non-Statutory Cover
(i) Unsealed envelope containing the copy or copies of electoral roll (other than the
marked
copy);
(ii) Unsealed envelope containing the appointment letters of Polling Agents in Form 10
and
 accounts of appointment of polling agent;
(iii) Unsealed envelope containing the election duty certificate in Form 12-B
(iv) Unsealed envelope containing the declarations by the presiding officer
(v) Unsealed envelope containing the receipt book and cash, if any, in respect of
challenged votes;
(vi) Unsealed envelope containing (i) unused and damaged paper seals and (ii) unused
and damaged special tags;
(vii) Unsealed envelope of unused voter’s slip
(viii) for the declarations obtained from electors as to their age and the list of electors who
have refused to make declarations as to their age
(ix) Form of declaration by elector under Rule 49MA (Test Vote);
(x) Form of declaration by elector whose name is in ASD list;
(xi) Letter of complaint to the S.H.O. Police;
In case of simultaneous election, pink envelope containing the declaration by the presiding
officer should be kept in this fourth pocket.
(V) Fifth packet: Handbook. Instructions and other
(i) Hand Book for Presiding Officer;
(ii) Instructions of Electronic Voting Machine & VVPAT, a) Posters on How to cast vote
on EVM and VVPAT, b) Brochure for Presiding Officer on use of EVM and
VVPAT and c) Trouble shooting on use of EVM and VVPAT;
(iii) Sealed envelope containing, a) Indelible ink set with stopper having been secured on
each phial effectively with molten candle or wax applied thereon to prevent leakage
or evaporation and b) used self-inking pads)
(VI) Sixth Packet: Other
Materials
(i) List of contesting candidates Form
7A (ii) Photocopy of signature of
(iii) candidates Other unused forms.
(iv) Metal seal of the Presiding Officer;
(v) Arrow cross-mark rubber stamp for marking tendered ballot
(vi) papers; Cup for setting the indelible ink
(VII) Two stationery containers containing used and remaining stationery
items
C. Voting Compartments : Nos
D. Acquittance Roll of T.A to Polling Personnel if : Nos.
any

Handed Over Taken charge

Signature of Presiding Name & Signature of the receiving Officer

Officer Polling Station
No.............